| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,575 |
2,026 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
439 |
$18K |
| 90674 |
|
131 |
118 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
334 |
255 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
832 |
723 |
$2K |
| 90688 |
|
118 |
94 |
$955.42 |
| 90686 |
|
33 |
29 |
$357.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
42 |
$354.64 |
| 92552 |
|
14 |
14 |
$77.16 |
| 96127 |
|
16 |
14 |
$21.00 |
| 99173 |
|
26 |
25 |
$12.84 |
| 81003 |
|
16 |
16 |
$10.12 |
| 3008F |
|
1,158 |
856 |
$1.00 |
| 1160F |
|
1,087 |
803 |
$1.00 |
| 1159F |
|
1,087 |
804 |
$1.00 |
| 3074F |
|
18 |
14 |
$0.00 |
| 1036F |
|
16 |
14 |
$0.00 |
| 90668 |
|
36 |
21 |
$0.00 |
| 3078F |
|
56 |
48 |
$0.00 |
| 0521F |
|
16 |
14 |
$0.00 |